scholarly journals Effectiveness of Thermos to Maintain the Temperature of Ringer Lactate and Normal Saline 0.9% at AC Temperature 18˚C

2013 ◽  
Vol 9 (2) ◽  
pp. 204-211
Author(s):  
Rifda Nur A Arif ◽  
◽  
Abdurrahman Wahid ◽  
Ifa Hafifah ◽  
Gia Eka Negara
Keyword(s):  
Fluid Resuscitation ◽  
Normal Saline ◽  
P Value ◽  
Ringer Lactate ◽  
Temperature Changes ◽  
Significant Difference ◽  
The Media ◽  
Study Type ◽  
Statistical Results

Hemorrhagic shock patients require fluid resuscitation, but extra efforts should be made to provide 39 C fluids to avoid hypothermia. One of the media to maintain temperature is a thermos. The purpose of this research is to identify whether the flasks can keep 39-degree crystalloid fluids at 18 degrees Celsius. This study used a pre-experimental method, with One-Shot Case Study type, 12 bottles of crystalloid liquid was warmed to 39°C, then put into 2 rice flasks, and temperature changes were measured for 6 hours at AC temperature 18˚C. The study was conducted on 30 November 2019. The findings show that temperatures in 6 bottles of RL liquid decreased by 6.8 -7.4 C and in 6 bottles of NS 0.9% liquid decreased by 5.3 - 6.4 C. Statistical results using the Mann-Whitney p-value is 0,000. It was concluded that there was a significant difference between changes in temperature of lactate Ringer's fluid and normal saline 0,9%. A thermos can maintain a temperature of 39˚C for about 1 hour and can prevent hypothermia from reaching 36˚C for about 3 hours.

scholarly journals Thermos Ability in Maintaining Crystalloid Liquid Temperature (Ringer’s Lactate and Normal Saline 0,9%): an Alternative in Maintaining Resuscitation Fluid Temperature

2013 ◽  
Vol 9 (2) ◽  
pp. 187-195
Author(s):  
Ninda Saputri ◽  
◽  
Abdurrahman Wahid ◽  
Tina Handayani Nasution ◽  
Gia Eka Negara
Keyword(s):  
Normal Saline ◽  
Haemorrhagic Shock ◽  
Fluid Temperature ◽  
Ringer Lactate ◽  
Temperature Changes ◽  
Significant Difference ◽  
Resuscitation Fluid ◽  
Ringer’S Lactate ◽  
Infusion Fluid

Haemorrhagic shock should be treated with fluid therapy at 390°C to avoid hypothermia. Storage of infusion fluid in a rice thermos is one method to maintain the temperature of the infusion fluid. This study aimed to determine the effect of using a thermos to maintain a temperature of 390C crystalloid liquid (ringer lactate and normal saline 0,9%) at a room temperature of 250C. This research method uses experimental quantitative (pre-experimental) with a one-shot case study design. Six bottles of Ringer's lactate and six bottles of normal saline 0,9% were warmed to 390C, then stored in a rice thermos at 250C and the temperature changes were measured for 6 hours. A digital thermometer was used to take measurements. The Mann-Whitney test was used to analyze the data. The results show that the temperature of Ringer's lactate fluid was reduced by an average of 4,60C, and normal saline was reduced by an average of 4,30C. There was a significant difference in temperature changes in the ringer's lactate fluid and normal saline 0,9% (p=0,000;α=0,05). The results of the study were that the rice thermos was able to maintain the temperature of ringer's lactate fluid at 390C for 96 minutes and normal saline 0,9% for 78 minutes, while to prevent hypothermia (360C) ringer's lactate fluid for 4 hours 59 minutes and normal saline 0,9 % for 4 hours 55 minutes.

scholarly journals Effect of Woolen Cloth to Maintain Temperature 39°C of Crystaloid Fluid Ringer Lactate at Room Temperature 18°C

2021 ◽  
Vol 9 (1) ◽  
pp. 64-71
Author(s):  
Helna Fitriana ◽  
◽  
Abdurrahman Wahid ◽  
Tina Handayani Nasution ◽  
Gia Eka Negara
Keyword(s):  
Room Temperature ◽  
P Value ◽  
Ringer Lactate ◽  
Additional Material ◽  
Temperature Changes ◽  
Crystalloid Fluid ◽  
Significant Difference ◽  
Woolen Cloth ◽  
The Difference ◽  
Wool Cloth

Fluid resuscitation with 39ᵒC is one of the main therapies for hypovolemic (hemorrhagic) shock patients to prevent complications. In this time, we already have tools to keep the fluid warm, but not all health services have these tools. To find out the effectiveness of using woolen cloth against the temperature of Ringer Lactate 39°C crystalloid fluid at room temperature 18°C. This study used a pre-experimental method, with a static group comparison approach, with 4 Ringer Lactate liquid samples divided into 2 groups, namely groups using wool cloth and those not using woolen cloth. Data collected through observation sheets. Data analyzed using the Mann Whitney test. With this p value (0.00001) <α (0.05), it can be concluded that there is a significant difference between the use of woolen cloth and those that do not use woolen cloth. The woolen cloth is effective to slow down the decrease in temperature of the crystalloid liquid Ringer Lactate 39ᵒC at room temperature 18ᵒC. The difference in temperature changes in the Ringer Lactate crystalloid fluid is influenced by several things including humidity, ambient temperature, and additional material used.

TO COMPARE THE EFFECTIVENESS OF NEBULISATION WITH ADRENALINE, 3% HYPERTONIC SALINE AND NORMAL SALINE IN BRONCHIOLITIS IN CHILDREN OF 2 TO 24 MONTHS OF AGE BASED ON CLINICAL SEVERITY SCORE AND NEBULISATION FREQUENCY.

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Priyanka Jain ◽  
Rakesh Jain
Keyword(s):  
Hypertonic Saline ◽  
Normal Saline ◽  
Mean Difference ◽  
Clinical Severity ◽  
Research Centre ◽  
P Value ◽  
College Hospital ◽  
Mean Values ◽  
Significant Difference ◽  
The Mean

Background & Method: We conducted a double blinded study at Index Medical College Hospital & Research Centre, Indore. The sample size was determined to be minimum of 120 cases as based upon previous years admission due to acute bronchiolitis. Initially, 146 cases were included in the study out of which 23 cases dropped out of the study after giving consent by guardian for participation in the study as they left against medical advice from the hospital. Result: The mean difference of CSS between 0 minutes to 60 minutes of nebulisation between groups in all cases was 0.4 ± 0.6, between 60 minutes and 4 hours was 0.8 ± 0.6, between 4 to 8 hours was 0.7 ± 0.6, between 8-12 hours was 0.6 ± 0.4, between 12-24 hours was 1.6 ± 0.9 and between 24-48 hours was 1.9 ± 0.9.The mean values and resultant p-value of ANOVA of various nebulising agents used for improvement in CSS shows significant association between various nebulising agents used along with improvement in CSS at the end of assessment at 48 hours of treatment. Conclusion: This study was conducted to establish the efficacy of each nebulisation agent (i.e.  adrenaline, 3% hypertonic saline and normal saline) currently used and compare the outcomes as there is not enough evidence amongst Indian population on level of efficacy of each drug in causing improvement in symptoms and signs in various severities of bronchiolitis in early childhood. Comparison of significant improvement in mean difference in CSS at various intervals in all cases compared between groups by post hoc test revealed non-significant difference (p-value 0.700) between 3% hypertonic saline and normal saline. Keywords: nebulisation, adrenaline, bronchiolitis & clinical.

scholarly journals Improving The Knowledge Of Primary School Children On Fourth Grade Stundents About Vegetables And Fruits And Attraction Of Puzzle Media In SDN Mekarjaya I

2017 ◽  
Vol 8 (2) ◽  
pp. 134-145
Author(s):  
Wiena Arynda ◽  
Rosmida M Marbun
Keyword(s):  
School Children ◽  
Fruits And Vegetables ◽  
Fourth Grade ◽  
Primary School Children ◽  
P Value ◽  
Significant Difference ◽  
Fourth Grade Students ◽  
Before And After ◽  
The Media ◽  
Vegetables And Fruits

In Indonesia, 93.5% of the population aged ≥10 years still consume less fruits and vegetables 5 servings per day for 7 days a week (RISKESDAS, 2013).  The preliminary study conducted at SDN Mekarjaya I shows that the level of knowledge of school children about vegetables and fruits by 60% is still low and 93.3% of vegetable and fruit consumption is still lacking. In addition, SDN Mekarjaya I has never been used as a place of prior research. Therefore, it is necessary to conduct research on the knowledge of fruit vegetables in the fourth grade students of SDN Mekarjaya I. One of them is by doing counseling with the media of puzzle game. This research was conducted to know the increase of knowledge about vegetables and fruits before and after given counseling with puzzle game media in fourth grade students of SDN Mekarjaya I. This research was conducted by Pre-exsperiment method using "One group pretest and posttest" research design. Sampling by purposive sampling is 66 people. The statistical test used is paired sample t-test. Based on the results of the analysis shows that there is a significant difference of knowledge where p-value 0.000 or p <0,05 means there is a meaningful difference between before and after given counseling with puzzle game media.This puzzle game media can be developed by the teachers as a medium of learning in the classroom so that students are more motivated in following the learning process and make students do not feel bored

Balanced Crystalloid Versus Normal Saline as Resuscitative Fluid in Diabetic Ketoacidosis

2022 ◽  
pp. 106002802110636
Author(s):  
Adriana R. Carrillo ◽  
Kirsten Elwood ◽  
Chris Werth ◽  
Jessica Mitchell ◽  
Preeyaporn Sarangarm
Keyword(s):  
Length Of Stay ◽  
Serum Creatinine ◽  
Diabetic Ketoacidosis ◽  
Fluid Resuscitation ◽  
Normal Saline ◽  
Group Versus ◽  
Hospital Length Of Stay ◽  
Maximum Serum ◽  
Significant Difference ◽  
Balanced Crystalloid

Background: Large volume resuscitation with normal saline (NS) may be associated with iatrogenic hyperchloremia and renal injury. Objective: The purpose of this study was to assess clinical outcomes associated with the use of Lactated Ringer’s (LR) compared to NS as resuscitative fluid in diabetic ketoacidosis (DKA). Methods: Single-center, retrospective analysis of patients admitted for DKA. The primary objective of this study was to evaluate the incidence of iatrogenic hyperchloremia associated with fluid resuscitation using balanced crystalloid compared to NS. Results Iatrogenic hyperchloremia occurred more frequently in the NS group compared to the LR group (74.4% vs 64.2%; P = 0.05). Mean maximum serum chloride was higher in the NS group (115.7 mmol/L vs 113.7 mmol/L; P = 0.004). Incidence of hypernatremia was higher in the NS group (18.3% vs 9.3%; P = 0.02). There was no significant difference in the incidence of AKI; however, mean change in serum creatinine at 48 hours showed a significantly greater decrease in the LR group (-0.15 mg/dL vs -0.04 mg/dL; P = 0.002). No significant differences were found in intensive care unit (ICU) length of stay or total hospital length of stay. Conclusion and Relevance This study found a statistically significant reduction in the incidence of iatrogenic hyperchloremia with the use of LR compared to NS as fluid resuscitation in DKA. Serum creatinine was more improved in the LR group versus NS group at 48 hours. Preferential use of balanced crystalloid for fluid resuscitation in DKA may reduce incidence of hyperchloremia and support renal recovery in this population.

scholarly journals Housing Condition of Coastal Area in Bangladesh: A Case Study of Kutubdia, Cox’s Bazaar

2015 ◽  
Vol 6 (1) ◽  
pp. 15-20 ◽  
Author(s):  
M Mohiuddin ◽  
MB Latif
Keyword(s):  
Type A ◽  
P Value ◽  
Type B ◽  
Laboratory Examination ◽  
Chi Square ◽  
E Coli ◽  
Significant Difference ◽  
Different Types ◽  
Hygienic Measures

This study was conducted to determine the contamination of E. coli and Salmonella for different types of foods in Chittagong city area. In case of laboratory examination, almost half (49.58%) of the samples were contaminated where 28.75% positive for E. coli. and 20.83% for Salmonella. The positive cases for type A sample was 20 out of 96 constituting 20.83% whereas the positive cases for type B sample was 49 out of 144 constituting 34.03% for E. coli. The positive cases of type A sample was 15 out of 96 making up 15.63% and for type B sample was 35 out of 144 making up 24.31% for Salmonella.A chi-square (?2) test was used to examine the equality of observed proportions for E. coli and Salmonella of each item of both types of food where significant difference among the observed proportion for E. coli (p-value<0.01) and Salmonella (p-value=0.032) for different items of A type and for E. coli (p-value<0.01) for different items of B type were observed and an odds ratio (OR) was measured for association between exposure and outcome where the probability of contaminated by E. coli of type B food is higher than contaminated of type A food (OR= 1.96 and CI:1.07-3.58). The probability of contaminated by Salmonella of type B food was higher than type A food (OR= 1.73 and CI: 0.89-3.39).The comparatively high bacteria in type B samples indicated contamination from water, practice of inadequate hygienic measures, mishandling, improper storage, inadequate cooking and above all unhygienic condition of the retail shops.DOI: http://dx.doi.org/10.3329/jesnr.v6i1.22034 J. Environ. Sci. & Natural Resources, 6(1): 15-20 2013

scholarly journals The effect of Curcuminvs. Curcumin combined Antibiotic Ointmentson the Healing of skin wound

2021 ◽  
Vol 14 (3) ◽  
pp. 1587-1593
Author(s):  
Emad K. Abbas ◽  
Hussein H. Echrish ◽  
Sabaa A. Mohammed
Keyword(s):  
Wound Healing ◽  
Normal Saline ◽  
Biological Effects ◽  
Skin Wound ◽  
Control Group ◽  
P Value ◽  
Average Weight ◽  
Wide Range ◽  
Significant Difference ◽  
Animal House

Background:Turmeric is typically used as a spicy food preservative and colorant. It has been proved that curcumin has a wide range of biological effects including anti-inflammatory, anti-viral, anti-fungal, and curcumin activity that can improve antibiotic activity on the wounds. Objectives: To evaluate the effects of Curcumin with and without antibiotics on skin wound treatment. Materials and Methods: The protocol was approved by the animal house in medical college / Basra university. This study used nine male rabbits aged about 6 months and an average weight of (1.083 g). Each group consists of 3 rabbits: control group (normal saline) A, topical curcumin in group B, topical curcumin, and tetracycline ointment in group C. Regular treatments were given to rabbits in therapeutic groups. Result: The lowest Mean ± SDof swelling of suturing area was noted in both groups that treated by curcumin alone (9.07 ± 0.97 vs 15±1 mm, p value = 0.002) and that treated with curcumine and antibiotic (9.1±0.9vs 15±1 mm, p value = 0.002) versus the control group ( that treated by normal saline) and the lowest Mean ± SD of elevation of suture line was noted in both group that treated by curcumin alone (2.63 ± 0.06 vs 4.07±0.21 mm, p value >0.001) and that treated with curcumin and antibiotic (2.7 ± 0.2 vs 4.07±0.21 mm, p value =0.001) versus control group. There is no significant statistical difference between the Mean ± SD neither of swelling of suture area nor of elevation of suture lines of groups that treated by curcumin alone and group that treated with curcumin and antibiotic [(9.07 ± 0.97 vs 9.1 ±0.9, p value=0.97),(2.63±0.06 vs 2.7 ± 0.2, p value=0.61) respectively]. The histopathological evaluation is consistent with morphological changes as at day 3 of wound healing in both groups that treated by curcumine with and without antibiotic, there is formation a thin layer of keratin and absence of features that indicate delay wound healing such as hemorrhage, inflammatory cell infiltrate of (Neutrophils, macrophages and lymphocytes) and debris, which are detected in control group. Furthermore, at day 7 of control group, there is decrease of inflammation, presence of gap between the two edgesof the wound but no keratin formation. No clear histopathological difference in wound healing between tested groups that treated by curcumin with and without antibiotic. Conclusion: There issignificant clinical and histological evidences that the curcumin not only prevent delay of wound healing but it is also enhanced wound healing. No significant difference in using curcumin alone or combine it with local antibiotic.

Persepsi Pengunjung Pada Museum Sebagai Tempat Tujuan Wisata Dan Media Pendidikan Non-Formal Untuk Meningkatkan Apresiasi Nilai-Nilai Kejuangan

2015 ◽  
Vol 2 (1) ◽  
pp. 62-74
Author(s):  
Jazuli Ahmad
Keyword(s):  
Formal Education ◽  
Sampling Method ◽  
P Value ◽  
Test Results ◽  
Purposive Sampling ◽  
Museum Management ◽  
Significant Difference ◽  
The Media ◽  
The Relationship ◽  
Better Than

This research is motivated by the significant difference between the museum visitor in Yogyakarta. The purpose of this study is to determine whether any differences in the perception of visitors of the museum as a tourist destination, the media of non-formal education as an object to increase the appreciation to historical values. The population in this study are all visitors who comes to the museum in Yogyakarta. Total of samples are 120 respondents and using purposive sampling method. Purposive sampling included in non-probability sampling techniques.Based on statistical data analysis, the statement in this research is valid and reliable because that is consistent and reliable fixed anytime and by anyone who will conduct research in a similar context. While the Chi quare test showed no visitors who have different perceptions and there is a visitor who does not have different perceptions of the factors that affect visitors to the museum in Yogyakarta. This can be seen from the results of the P value (Asymp. Sig.)> 0.05 and P value (Asymp. Sig.) <0.05. And for crosstab test results also showed no variables are interrelated and there is a variable that does not have a relationship because there is a calculated value of > table and calculate the < table.To maintain and increase the number of visitor, museum management should strive to improve and enhance the indicators that have value Asymp Sig. > 0.05 so that the perception of the museum’s visitors better than before. Meanwhile, in order to compete in the competitive business engaged in the service, the museum should improve the relationship between the variables and the other variables especially those with a low count .Keywords: perception, Museum in Yogyakarta

Intravenous Ondansetron for Attenuation of Post Spinal Anesthesia Hypotension

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Saeed Mohamed Ibrahim ◽  
Rania Mahrous Aly Hussien ◽  
Hazem Mohamed Sabry Abdel Aziz Ahmed
Keyword(s):  
Spinal Anesthesia ◽  
Local Anesthetic ◽  
Normal Saline ◽  
Demographic Data ◽  
Randomized Study ◽  
P Value ◽  
Anthropometric Measures ◽  
Double Blind ◽  
Induced Hypotension ◽  
Significant Difference

Abstract Background Spinal Anesthesia is a common type of anesthesia used during many surgical procedures. This regional technique can be accomplished by administering an intrathecal dose of hyperbaric local anesthetic solution. The local anesthetic within the subarachnoid space can block sensory, motor and sympathetic pathways. Objectives The Purpose of this study was to find out the effectiveness of prophylactic administration of intravenous ondansetron for attenuation of spinal anesthesia induced hypotension in non-obstetric spinal anesthesia surgeries. Patients and Methods Therefore, A prospective double-blind, placebo-controlled, randomized study was found to be the most suitable design in order to achieve the study objectives. A total of 90 patients males & females included in the study, aged 20-40 years, and were divided equally into two groups: Group A received 8 mg ondansetron diluted in volume of 10 cm normal saline 5 minutes prior to spinal anesthesia. Group B received a placebo of 10 cm normal saline 5 minutes prior to spinal anesthesia. Results There was no statistically significant difference found between the two studied groups regarding demographic data, anthropometric measures, ASA score and total time of surgery. There was statistically significant increase in the incidence of hypotension immediately after spinal and at 5 min in placebo group than ondansetron group with p-value = 0.026 and 0.014 respectively. Conclusion The present study demonstrated that, among patients who received spinal anesthesia with bupivacaine for elective for surgeries below umbilicus, prophylactic intravenous ondansetron 8mg iv 5 mins prior to spinal anesthesia reduced spinal anesthesia induced hypotension decreases in SBP, MAP, and heart rate. Ondansetron did not have a significant effect on DBP. Ondansetron did not have a significant effect on DBP. The incidence of nausea and vomiting was lower following the administration of ondansetron, and vasopressor use and dosages were reduced.

scholarly journals Effects of Ringer Lactate Normal Saline Combination Vs Normal Saline during Renal Transplantation Surgery on Early Postoperative Outcome

2019 ◽  
Author(s):  
Pejman Pourfakhr ◽  
Alireza Sohrabi Nodehi ◽  
Hamid Reza Shariefnia ◽  
Mohammad Reza Khajavi
Keyword(s):  
Renal Transplantation ◽  
Normal Saline ◽  
Urine Output ◽  
Postoperative Outcome ◽  
Fluid Replacement ◽  
Kidney Transplant Recipients ◽  
Ringer Lactate ◽  
Serum Chloride ◽  
Significant Difference ◽  
Kidney Transplantations

Background: Traditionally normal saline is the most common crystalloid solution that is used in transplant surgery. Normal saline (NS) because of the higher risk of acidosis and higher levels of serum chloride may have more deleterious effects in kidney transplant recipients Thus; the aim of this study was to determine the safety of ringer lactate normal saline combination if used during a renal transplant. Methods: One Hundred adults undergoing kidney transplantations were enrolled in a double-blinded randomized prospective clinical trial. They were divided into two groups in order to receive RL& NS and NS infusion as intraoperative IV fluid replacement therapy. All patients received 40 ml/kg fluid during surgery. Serum chloride, sodium, Cr and BUN were checked before operation and 6hour after surgery. Urine output BUN and Cr was also checked in 1, 3 and 7 day after surgery. At the end of surgery, we corrected the acid base status with bicarbonate according to base excess< -15 or PH<7.15 if needed in both groups. Results: There was a significant difference in the serum chloride level (p= 0.001) and urine output (p= 0.003) between the two groups at the 6 hours after transplantations. Postoperative BUN and Cr level at 2,3 and 7 days in RL&NS group was significantly lower than group of NS (P= 0.011). Also, urine output during this study time was significantly higher in RL&NS group (p=0.001). Conclusion: Combination of Ringer lactate &normal saline crystalloid solutions are associated with higher urinary output and most favorited out come in the early post-operative days after renal transplantation surgeries.

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